NPIMap

Individual provider Active NPI

Sophia A Dannouf

  • Physician Assistant
  • Dillwyn, VA
National Provider Identifier
1609695899
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010706 Issued in VA
Practice address
65 Brickyard Dr
Dillwyn, VA 23936-3361
Phone
(804) 317-3785
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians Inc 93 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Ashland, VA 23005-1125
Phone (804) 798-8307

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250520004667 VA Practitioner - Physician Assistant 7214455468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110010706VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physician Inc CurrentSince Jan 1, 2026 Accepting new patients
Virginia Physicians Inc CurrentSince Jan 1, 2026 Accepting new patients
Virginia Physicians, Inc. Past Accepting new patients

Locations

100 Medical Dr
Ashland, VA 23005
Phone (804) 330-0303

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110010706 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

65 Brickyard Dr
Dillwyn, VA 23936-3361

Mailing address

5412 Macalpine Cir Apt 1333
Glen Allen, VA 23059-5574

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2025.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1609695899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 MACALPINE CIR APT 1333",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BRICKYARD DR",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239363361",
            "telephone_number": "804-317-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNOUF",
        "first_name": "SOPHIA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillwyn, VA

Sources for this page

Verify at the official NPI Registry.